Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.50 / $5.50	Facility		$3.02	$5.50	$5.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $7.08	Professional		$3.02	$3.98	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $7.08	Professional		$4.68	$4.68	$7.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $11.48	Facility		$4.27	$4.27	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.57	Professional		$3.63	$3.63	$4.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $13.80	Professional		$6.61	$9.55	$13.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.13 / $7.24	Professional		$4.37	$5.13	$7.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $5.37	Professional		$4.79	$5.37	$5.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $5.50	Facility		$3.02	$3.02	$5.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $7.08	Professional		$3.02	$3.98	$7.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $10.23 / $14.13	Professional		$0.60	$10.23	$14.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $5.13 / $6.76	Facility		$3.24	$5.13	$6.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.61 / $7.41	Professional		$5.13	$6.61	$7.41
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.02 / $4.57	Facility		$2.40	$3.02	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.55 / $6.46	Professional		$2.40	$3.55	$6.46